| NPI | 1265294284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA100328) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA PA100328) |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2026-07-15 |